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' ' (�� . �'"`� PC Exhibit A <br /> City of Orono <br /> Variance Application <br /> . StreetAddress: Application# G7 " 3Z�� <br /> ��� 2750 Kelley Parkway . Date Received: - �-Q <br /> O O Orono, MN 55356 Amount Paid: � � <br /> _ Staff: • <br /> Main: 952-249-4600 Fee: $600 <br /> fax: 952-249-4616 <br /> ��� ���`� Mailing Address: Renewal: $300 <br /> P.O. Box66 After-the-fact: $1,200 Double Fee <br /> �'EsH��' Crystal Bay, MN 55323-0066 <br /> This application form must be completed in full. Applicant will be notified within 15 days as to the status of the <br /> app�ication. Incomplete applications will not be placed on Planning Commission Agendas. <br /> PROPERTY INFORMATION: <br /> Site Address: �/gp /�/�/� Syq�f��� <br /> Property Identification Number (PIN): Dq !I7 2 332fX�0� <br /> (Attach legal description to application if not included on the survey.) <br /> Date Property Acquired (month/year): 04 0 5" ❑ Yes, I own the adjacent parcels. <br /> Present use of property: � Residential ❑ Other <br /> Zon ing District: Ll�.-[� <br /> � APPLICANT INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: Jo�r AND J,A�.i�►-��' �-}�l D�r2N Wi►�R r� <br /> Phone (home): a�2- ��2 - 42v6 Phone (work): <br /> Complete Address: p 2 W, co�- L N, i N N ,S N <br /> Email: 1-i�� �( 2 t e o ' Fax: <br /> OWNER INFORMATION: (Complete legal names and marital status required for each interested party) <br /> Name: _ 513�=r�c� �4-s ,<}.g��� <br /> Phone (home): Phone (work): <br /> Complete Address: <br /> Email: Fax: <br /> DESCRIPTION OF REQUEST: Estimated Project Cost: $ � � <br /> Describe the request in detail (attach additional sheets if necessary): <br />